Moos Daniel D, Prasch Matt, Cantral David E, Huls Ben, Cuddeford James D
Kearney Anesthesia Associates, P.C., Neb, USA.
AANA J. 2005 Jun;73(3):197-205.
Ambulatory surgery centers (ASCs) provide surgical care for patients not requiring hospital admission for their postoperative care. Obstructive sleep apnea syndrome (OSAS) is a disease process affecting every phase of anesthesia care delivery. The potential complications of OSAS and anesthesia care have been well documented in the preoperative, intraoperative and postoperative phases. Patients with OSAS undergoing procedures at ASCs may be at increased risk because they are discharged to home. The influence of residual anesthetics, analgesia, airway edema, and disruption of sleep cycles may result in significant postoperative apneic events in this patient population. There is a lack of studies regarding the outcomes and management of patients with OSAS in the outpatient and ASC environments. Until there are more studies defining the risk and outlining safe and appropriate care for these patients, it would seem reasonable to remain conservative in our approach because the negative outcomes in this population can be catastrophic.
门诊手术中心（ASC）为术后无需住院护理的患者提供手术治疗。阻塞性睡眠呼吸暂停综合征（OSAS）是一种影响麻醉护理各个阶段的疾病过程。OSAS与麻醉护理的潜在并发症在术前、术中和术后阶段均有充分记录。在ASC接受手术的OSAS患者可能风险更高，因为他们术后直接回家。残留麻醉剂、镇痛作用、气道水肿以及睡眠周期紊乱的影响可能导致该患者群体术后出现严重的呼吸暂停事件。目前缺乏关于门诊和ASC环境中OSAS患者的治疗结果及管理的研究。在有更多研究明确这些患者的风险并概述安全且合适的护理方法之前，我们的处理方式保持保守似乎是合理的，因为该人群的负面后果可能是灾难性的。
